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Safety considerations: Limited human safety data requires conservative approaches

Have a history of long-term antibiotic use, which can reduce the ability of the stomach to absorb and use vitamin B12

*Agenda may be adjusted based on course requirements and operational considerations

Monitor for wooden chest syndrome, primarily occurs through IV use Alcohol Confusion, seizures, vomiting, depressed breathing, cyanosis, hypothermia, unconsciousness Secobarbital Weakness, slurred speech, rapid involuntary eye movement, hypotension, nausea, coma Xylazine Respiratory depression, hypotension, bradycardia, CNS depression